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1
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2
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3
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4
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5
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- Programs born and changed over the years with little focus on
reengineering
- Funding and program are often not integrated across program areas
- Welfare stigma
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6
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7
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8
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9
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- 8 Critical steps to success
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10
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- Four things every manager must do regardless of position
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11
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12
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13
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- Things we must solve together…
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14
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15
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16
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- The state formalized the multiple consortia strategy to mitigate issues
raised about a single system approach
- Allowed up to four consortia
- Established the counties as the development entity
- Required the development of a mechanism to electronically exchange case
information across consortia
- State’s Mandate Resolved
- Risks associated with the size/complexity of the development
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17
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18
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- ISAWS – 35 counties / 920,537 persons / 6,500 users
- M&O Phase but engaged in preliminary planning activities to migrate
the 35 ISAWS counties to another SAWS consortium
- LEADER – 1 county / 2,691,192 persons / 11,000 users
- M&O Phase but engaged in considering the alternatives for meeting
county automation needs after April 2007 when the current contract
expires
- CalWIN –18 counties / 2,450,018 persons / 28,000 users
- Consortium-wide implementation anticipated for completion in July 2006
- C-IV – 4 counties / 845,842 persons / 8,500 users
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19
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- Capturing Lessons Learned
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20
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- Opportunity for collaboration among counties
- Streamline and change business processes
- New business model defines needs upon which functional requirements are
based
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21
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- GATEWAY - “one-stop shop” for
guide to client services
- PLANNING –holistic/coordinated approach to client’s situation
- BENEFIT & SERVICE DELIVERY -
accurate, timely, appropriate
- COLLABORATION – resource bank to meet changing client needs
- ACCOUNTABILITY, IMPROVEMENT & MEASUREMENT – track outcomes
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22
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- Chasing funding
- vs.
- Project needs & risks
- ....The right balance
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23
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- Change management
- Cultural change
- Prepare staff
- Train staff
- ..Implementing change is not without bumps…
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24
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25
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26
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- Selling money
- Strings attached
- Systems transfer
- Delayed schedules
- Some problems more serious
- Lots of lessons learned
- Executive leadership required
- Contractors and IT not magic
- Need to include end users and stakeholders
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27
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28
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- Michael Hammer, James Champy
- Focus:
- Blank page
- Workflow
- Organization acceptance
- Enabling technologies
- Service-oriented
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29
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- Infrastructure
- Standards
- Web-browsers, XML, APIs
- Did it work?
- Funding
- E-government
- Customer demand
- Information and communications
technology (ICTs)
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30
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- Breaking down silos
- Using enterprise view and technology for next generation of service
- Integration of technologies
- One-stop approach – portal
- Networked government
- Client/citizen/stakeholder
- Same data but different view
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31
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- Consolidated portal
- Access for all authorized stakeholders
- 100% Web-based
- Single sign-on
- Common look and feel for all components
- Architected to support the entire Medicaid enterprise
- MITA-aligned
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32
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33
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- Need for legacy systems
- Need for program integration
- Need for ICTs
- Need for standards
- Time is right:
- to focus on big picture
- when contracting out services, move to a customer centric solution
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34
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35
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